EMPLOYMENT APPLICATION
AEG Management MN, LLC
dba Target Center
Minneapolis, MN
EMPLOYMENT APPLICATION
Target Center is an equal opportunity employer. We encourage all qualified individuals to apply for employment. If you require
accommodations to complete the application, testing or interview process, please contact the Human Resources Department.
(PLEASE PRINT)
DATE ______________________
Name:______________________________________________________________________________________________
Last
First
Middle
Business / Mobile Telephone: (___)___________________________ Home Telephone: (___)___________________________
Present Address: _____________________________________________________________________________________
Number
Street
City
State
Zip
Permanent Address if different from present address:
___________________________________________________________________________________________________
Number
Street
City
State
Zip
EMPLOYMENT DESIRED
Referral Source: ______________________________________________________________________________________
Position applying for: __________________________________________________________________________________
Are you applying for: (Please circle Yes or No)
Regular full-time work? ...................................................................................................................... Yes
Regular part-time work? ..................................................................................................................... Yes
Temporary work, e.g. Summer or Holiday work?............................................................................... Yes
No
No
No
What days and hours are you available for work?____________________________________________________________
If applying for temporary work, during what period of time will you be available?
From________________________________________________ To_____________________________________________
Are you available for work on nights and weekends?...................................................................................... Yes
No
Would you be available to work overtime, if necessary?................................................................................ Yes
No
If hired, on what date can you start work?__________________________________________________________________
Salary desired:________________________________________________________________________________________
PERSONAL INFORMATION
Have you ever applied to work for Target Center? .......................................................................................... Yes
No
If yes, when? ________________________________________________________________________________________
Do you have any friends or relatives working for Target Center? .................................................................. Yes
No
If hired, would you have a reliable means of transportation to and from work? ............................................... Yes
No
Are you at least 18 years of old?...................................................................................................................... Yes
No
Do you have the legal right to work in the United States?............................................................................... Yes
No
(Note: If under 18, hire is subject to verification that you are of legal minimum legal age.)
(Note: Proof of identity and legal authority to work in the United States is a condition of employment.)
Have you ever been convicted of a crime other than a traffic violation? ........................................................ Yes
No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
(Note: A conviction will not automatically disqualify you for employment. Each case will be individually considered based on specific facts.)
Are you currently employed?........................................................................................................................... Yes
If so, may we contact your current employer?................................................................................................. Yes
School
Name and Address
No. of Years
Completed
Did you
Graduate?
No
No
Degree or
Diploma
Junior High
High School
College / University
Vocational / Business
Other
Some of our customers do not speak English. Do you speak, write, or understand any other languages?
Yes
No
If yes, which language(s)?______________________________________________________________________________
Do you have any other experience, training, qualifications or skills which you feel make you especially suited to
work for Target Center? If so, please explain _______________________________________________________________
___________________________________________________________________________________________________
EMPLOYMENT HISTORY
Please list all present and past employment starting with your most recent employer (last ten [10] years is sufficient).
You must complete this section even if attaching a resume. If additional pages are needed, please attach.
Name of Employer:___________________________________________________________________________________
Address:____________________________________________________________________________________________
Type of Business:_____________________________________________________________________________________
Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________
Your Position and Duties:_______________________________________________________________________________
Dates of Employment: From:______________________________ To:___________________________________________
Starting Pay:______________________________________ Ending Pay:_________________________________________
May we contact this employer?.......................................................................................................................
Yes
No
Reason for Leaving:____________________________________________________________________________________
Name of Employer: __________________________________________________________________________________
Address: ____________________________________________________________________________________________
Type of Business: _____________________________________________________________________________________
Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________
Your Position and Duties:_______________________________________________________________________________
Dates of Employment: From:_____________________________ To:____________________________________________
Starting Pay:______________________________________ Ending Pay:_________________________________________
May we contact this employer?....................................................................................................................... Yes
No
Reason for Leaving:___________________________________________________________________________________
Name of Employer: __________________________________________________________________________________
Address: ____________________________________________________________________________________________
Type of Business: _____________________________________________________________________________________
Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________
Your Position and Duties:_______________________________________________________________________________
Dates of Employment: From:_____________________________ To:____________________________________________
Starting Pay:______________________________________ Ending Pay:_________________________________________
May we contact this employer?....................................................................................................................... Yes
No
Reason for Leaving:___________________________________________________________________________________
Name of Employer: __________________________________________________________________________________
Address: ____________________________________________________________________________________________
Type of Business: _____________________________________________________________________________________
Telephone: (___)______________________ Your Supervisor¡¯s Name:_________________________________________
Your Position and Duties:_______________________________________________________________________________
Dates of Employment: From:_____________________________ To:____________________________________________
Starting Pay:______________________________________ Ending Pay:_________________________________________
May we contact this employer?....................................................................................................................... Yes
No
Reason for Leaving:___________________________________________________________________________________
Have you ever been terminated or asked to resign your job? If yes, please explain:__________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Please identify and explain all periods of unemployment over the past ten (10) years:
From:____________ To:__________Reason:_______________________________________________________________
From:____________ To:__________Reason:_______________________________________________________________
MILITARY SERVICE
Have you obtained any special skills or abilities as the result of service in the military?............................... Yes
No
If so, please describe:__________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
REFERENCES
Please list below three persons not related to you, who have knowledge of work performance within the last three (3) years:
Name:____________________________________ Occupation:________________________________________________
Address:____________________________________________________________________________________________
Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________
Name:____________________________________ Occupation:________________________________________________
Address:_____________________________________________________________________________________________
Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________
Name:____________________________________ Occupation:________________________________________________
Address:_____________________________________________________________________________________________
Telephone: (___)_____________________________ Number of Years Acquainted:_______________________________
ACKOWLEDGEMENT
Please read carefully, initial each paragraph, and sign below.
______ I hereby certify that the information contained in this application is true and correct to the best of my knowledge.
I futher certify that I, the undersigned applicant, have personally completed this application. I understand that any
misrepresentation, falsification or omission of information on this application or any document used to secure
employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless
of the time elapsed before discovery.
______ I hereby authorize the Company to thoroughly investigate the information on my application, my references, work
record, education and other matters related to my suitability for employment and, futher, authorize the references I
have listed to disclose to the Company all letters, reports, and other information related to my work records, without
giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all
other persons or entities from any and all claims, demands or liabilities arising out of or in any way related to such
investigation or disclosures.
______The Company adheres to a policy of AT-WILL employment which means that each employee and the Company
each retain the right to terminate the employment relationship and that the Company retains the right to modify an
employee¡¯s position or compensation at any time, with or without cause or notice. No one other than the President
has the authority to make any binding promise or enter into any agreement inconsistent with Company¡¯s at-will
policy and any such agreement must be in writing and signed by both the employee and the President of the
Company to be effective.
______ As a condition of employment, all individuals offered employment are required to submit to a pre-employment drug test.
Date:_______________________________ Applicant¡¯s Signature:______________________________________________
Rev. 08/07
................
................
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